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Worker's Compensation Pre Service Representative

Surgery Partners Inc
Tampa, FL, United States
Full-time

Worker's Compensation Pre Service Representative

Job Category : Acctg.,Fin,RevCyc / Tax Requisition Number : WORKE007007 Showing 1 location Job Details

Description

We are growing come grow with us!

This position will be based at our Tampa, Florida office. There may be opportunities to work remotely once onboarding has been successfully completed if all productivity / quality metrics are met or exceeded, but candidate must be able to work from the Tampa office as needed.

Surgery Partners owns and operates more than 180 locations in 32 states, including surgical facilities and ancillary services comprised of multi-specialty physician practices and anesthesia services.

Apply now to explore joining our fast-paced and growing team!

Position Summary :

The Pre Service Representative is responsible for Surgery Scheduling, Insurance verification, obtaining authorization, calling patients to discuss financial responsibility, and coordinating all aspects of the schedule.

This Pre Service Rep will be responsible for Worker's Comp Pre Service.

Primary Responsibilities :

  • Schedule Surgeries for specific ASC
  • Verify Insurance prior to surgery being performed
  • Identify if Authorization / Precertification is needed.
  • Call patients to discuss financial responsibility with the use of the estimator tool in the HOST system.
  • Prepares surgery packet for the ASC, and scan all documents into the HOST system.
  • Reviews contract load updates and documents newly entered net revenue rates
  • Maintains strict confidentiality related to all patient data, including medical and financial and company and employee information
  • Provides superior customer service and takes a solutions oriented approach to all complaints.
  • Performs other duties as assigned or requested

Qualifications :

Education : High School Diploma or GED required.

Experience : Minimum of six months in a front office setting in an ASCs, or physician office.

Skills and Abilities : Excellent communication skills, both written and verbal.

Ability to understand and interpret policies and regulations.

Ability to prepare documents in response to inquiries.

Ability to examine documents for accuracy and completeness.

Ability to communicate effectively and work with others.

Strong information systems knowledge with specific knowledge

of Microsoft Windows, Excel and Word required. Next Gen / HST software experience desired.

Working Conditions : Normal business office environment

Physical Demands : Position requires prolonged sitting, standing, some bending, stooping and stretching.

Good eye-hand coordination and manual dexterity to sufficiently operate a keyboard, photocopier, telephone,

calculator and other office equipment is required.

Employee must have normal range of hearing and

eyesight to record, prepare and communicate appropriate

reports.

Ability to occasionally lift and / or move up to 25 pounds

Qualifications

Skills

Behaviors

Motivations

Education

Experience

Licenses & Certifications

23 days ago
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